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3599

72

2014-05-07

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This case shows a rectovaginal endometriotic nodule with transmural involvement of the vagina and a tight attachment of the sigmoid colon to the posterior aspect of the uterus. Nodule resection required a vaginal opening and a sigmoid anterior discoid resection. A flap was then performed to protect the stapling line on the bowel and prevent the risk of rectovaginal fistula.